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本文分析自发性蛛网膜下腔出血８６例的脑脊液与ＣＴ检查结果，评议二者在确诊及对预后判断的价值。急性期腰穿压力≥１．７６ｋｐａ占８７．３２％，均血性或黄变含较多红细胞，而ＣＴ检查表现基底池、脑裂脑沟积血者仅占７９．０７％，尚有２０．９３％因出血量少或检查延迟而无阳性发现。腰穿仍不失为诊断该病的可靠方法，但两种方法结合对临床诊断、指导治疗乃至判断预后无疑有益。腰穿压力过高、脑脊液高度染血和ＣＴ显示积血过多，往往预后不良。
This article analyzes the results of cerebrospinal fluid and CT in 86 cases of spontaneous subarachnoid hemorrhage and evaluates the value of the two in diagnosis and prognosis. Acute lumbar puncture pressure ≥1.76kpa accounted for 87.32%, both bloody or yellowing containing more red blood cells, and CT examination of basal cisterna pool, brain cracked brain sulcus only accounted for 79.07%, there are 20. 93% found no positive findings due to less bleeding or delayed examination. Waist wear is still a reliable method of diagnosis of the disease, but the combination of the two methods for clinical diagnosis and treatment, and even determine the prognosis is undoubtedly beneficial. Lumbar puncture pressure is too high, a high degree of bloody cerebrospinal fluid and CT showed excessive blood, often poor prognosis.